Combined intermittent pneumatic leg compression and pharmacological prophylaxis for prevention of venous thromboembolism in high risk patients

Kakkos, S.; Geroulakos, George; Caprini, Joseph A.; An, Nicolaides; Stansby, Gerard

doi:10.1002/14651858.cd005258

Cited by 38 publications

(39 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…our weak recommendation for thrombosis prophylaxis (section 6.2). Extrapolating from high-risk populations, [154][155][156] the combination of LMWH prophylaxis with mechanical methods may be of benefi t when multiple major risk factors for VTE are present. Further, when major risk factors continue in the puerperium, consideration should be given to extending prophylaxis for the 6 weeks during which pregnancyassociated prothrombotic changes may persist.…”

Section: Risk Of Vte Following Cesarean Sectionmentioning

confidence: 99%

VTE, Thrombophilia, Antithrombotic Therapy, and Pregnancy

Bates

Greer

Middeldorp

et al. 2012

Chest

1,307

591

View full text Add to dashboard Cite

Summary of RecommendationsNote on Shaded Text: Throughout this guideline, shading is used within the summary of recommendations sections to indicate recommendations that are newly added or have been changed since the publication of Antithrombotic and Thrombolytic Therapy: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Recommendations that remain unchanged are not shaded. Abbreviations: APLA 5 antiphospholipid antibody; aPPT 5 activated partial thromboplastin time; HIT 5 heparin-induced thrombocytopenia; INR 5 international normalized ratio; LMWH 5 low-molecular-weight heparin; NNT 5 number needed to treat; PE 5 pulmonary embolism; RR 5 risk ratio; UFH 5 unfractionated heparin

show abstract

Section: Risk Of Vte Following Cesarean Sectionmentioning

confidence: 99%

VTE, Thrombophilia, Antithrombotic Therapy, and Pregnancy

Bates

Greer

Middeldorp

et al. 2012

Chest

1,307

591

View full text Add to dashboard Cite

show abstract

“…Although combined mechanical and pharmacologic prophylaxis appears to be more effective in reducing symptomatic and asymptomatic VTE events than mechanical methods alone in surgical ICU patients, it is not known whether this is the same in medical ICU patients. 73 Recommendations 3.2. In critically ill patients, we suggest against routine ultrasound screening for DVT (Grade 2C) .…”

Section: Risk Of Bleedingmentioning

confidence: 99%

Prevention of VTE in Nonsurgical Patients

Falck‐Ytter

Francis

Johanson

et al. 2012

Chest

1,768

485

View full text Add to dashboard Cite

“…The risk of an epidural or spinal haematoma is increased in patients who are also on anti-platelet drugs or oral anticoagulants [73]. Combined prophylactic modalities have been shown to be superior to pharmacological measures only in preventing VTE [77]. Mechanical intermittent pneumatic leg compression [77], and elastic stockings may be used as adjuncts in patients who are at moderate or high risk for VTE [78].…”

Section: Summary and Recommendationmentioning

confidence: 99%

“…Combined prophylactic modalities have been shown to be superior to pharmacological measures only in preventing VTE [77]. Mechanical intermittent pneumatic leg compression [77], and elastic stockings may be used as adjuncts in patients who are at moderate or high risk for VTE [78]. There is ample evidence favouring the prescription of antimicrobial prophylaxis for major abdominal procedures [79,80].…”

Section: Summary and Recommendationmentioning

confidence: 99%